Quality of Care in Contraceptive Services Provided to Young People in Two Ugandan Districts: A Simulated Client Study

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dc.contributor.authorNalwadda, Gorrette
dc.contributor.authorTumwesigye, Nazarius M.
dc.contributor.authorFaxelid, Elisabeth
dc.contributor.authorByamugisha, Josaphat
dc.contributor.authorMirembe, Florence
dc.date.accessioned2022-01-22T21:43:56Z
dc.date.available2022-01-22T21:43:56Z
dc.date.issued2011
dc.description.abstractLow and inconsistent use of contraceptives by young people contributes to unintended pregnancies. This study assessed quality of contraceptive services for young people aged 15–24 in two rural districts in Uganda. Five female and two male simulated clients (SCs) interacted with 128 providers at public, private not-for-profit (PNFP), and private for profit (PFP) health facilities. After consultations, SCs were interviewed using a structured questionnaire. Six aspects of quality of care (client’s needs, choice of contraceptive methods, information given to users, client-provider interpersonal relations, constellation of services, and continuity mechanisms) were assessed. Descriptive statistics and factor analysis were performed. Means and categorized quality scores for all aspects of quality were low in both public and private facilities. The lowest quality scores were observed in PFP, and medium scores in PNFP facilities. The choice of contraceptive methods and interpersonal relations quality scores were slightly higher in public facilities. Needs assessment scores were highest in PNFP facilities. All facilities were classified as having low scores for appropriate constellation of services. Information given to users was suboptimal and providers promoted specific contraceptive methods. Minority of providers offered preferred method of choice and showed respect for privacy. The quality of contraceptive services provided to young people was low. Concurrent quality improvements and strengthening of health systems are needed.en_US
dc.identifier.citationNalwadda G, Tumwesigye NM, Faxelid E, Byamugisha J, Mirembe F (2011) Quality of Care in Contraceptive Services Provided to Young People in Two Ugandan Districts: A Simulated Client Study. PLoS ONE 6(11): e27908. doi:10.1371/journal.pone.0027908en_US
dc.identifier.other10.1371/journal.pone.0027908
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1437
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.subjectCareen_US
dc.subjectContraceptive Servicesen_US
dc.subjectYoung Peopleen_US
dc.subjectUgandan Districtsen_US
dc.titleQuality of Care in Contraceptive Services Provided to Young People in Two Ugandan Districts: A Simulated Client Studyen_US
dc.typeArticleen_US
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